Tatum Michelle Gardner, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61414677 Issued in WA

Practice address

19110 Bothell Way NE Ste 201
Bothell, WA 98011-2970

Phone

(253) 651-4709

NPI assigned

Jan 3, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1992514913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20903 88TH PL W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980266905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 BOTHELL WAY NE STE 201",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980112970",
            "telephone_number": "253-651-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "TATUM",
        "middle_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61414677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Beredo Garchitorena
• Alma Stephanie Garcia Lopez
• Marla Fernanda Garcia
• Rachel M Garcia, BA, RN, CCM, WWCP
• Jennifer Gardner, BSN, RN
• Jessica Ann Garrett, OCCUPATIONAL THERAPI
• Areona Sole Garrison
• Gary Eldon Heyamoto
• Megan Cathleen Gates, LMP
• Beri Negasi Gebrehiwot

• Nurse Practitioner in Bothell, WA
• Providers in Bothell, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.